Branch Address : MAHALAXMI MOTORS(11057) THEWOrLD'S FAVOURITE GRID ROAD, KABILPORE NAVSARI ,GUJRAT INDIAN MOBILE NUMBER:9727732992, PH BAJAJ NO:02637-237325 Gujarat [State Code : 24] MAHALAXMI MOTORS(11057) OPP P.G GARDEN GRID ROAD KABILPORE NAVSARI.396424 GSTIN: Tax Invoice Insurance Copy - Labour 24AAOFM9695D1ZR Invoice Type : Credit Invoice No. : LINS110572000021 Jobcard No. : RJC11057202000411 Invoice Date : 17/06/2020 Jobcard Date : 02/06/2020 Billed To : BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Whether Tax : No Customer Name : VIJABHAI MADHUSUDAN PANDYA Payable on Insurance GSTIN No : 24AABCB5730G1Z3 reverse Charges Repair Type : Accidental Repair Mobile No. KM Reading : 16856 Delivery Address : : GRID ROAD,KABILPORE NAVSARI,GUJRAT MOBILE NUMBER:9727732992, PH NO:02637-237325Gujarat [State Registration No. : GJ21BK6286 Code : 24] Chassis No. : MD2A76AY9JRE98121 Insurance Address SURAT Engine No. : PFYRJE19777 Surat,395001 Model Name : PLATINA 100 ,Email Policy No. : OG-19-2203-1828-00000008 SGST/ SGST/ CGST LABOUR NAME / SAC TAXABLE CGST IGST AMOUNT S. No. Labour Code RATE UNITS . RATIO DISC UTGS UTGS CODE AMOUNT (%) T (%) T BMSL0050 - Front fork INS Labour bend removal / 62.5 100:0:0] 300375.00 9 33.75 9 33.75 442.50 0 998729 / / 998729 BALINS001 - Insurance Labour Charges / 87141090 / Replaced Parts:52PF1154,52PF1 165,DD191142,PF1210 79,PF151015,DJ20120 L0D 67.50 2 INS Labour 62.5| 12100:0:0 0 750.00 9 67.50 9 885.00 6,DJ201207,JK131015 ,52PF0335,PF121076, PF121101,PF181236,J K401025,52PF1156,YP F21001,YDZ05005 / 87141090 TOTAL 1,125.00 101.2 101.2 0.00 1,327.50 5 5 Round Off 0.50 Total Amount 1,328.00 AMOUNT IN WORDS RS ONE THOUSAND THREE HUNDRED TWENTY EIGHT ONLY. Tax amount payable on reverse charges (in Rs.) : NIL Customer Advice : Terms And Conditions : Get your vehicle serviced at regular intervels. Next due date for service is 15-09-2020 MAHALAXMI MOTARS(M 057) Sign of Customer Or His Agent Thank You & Happy Riding Authouser Ren-tory Printed On: Wednesday, June 17, 2020 2:32 PM Page 1 of 1 ---PAGE END--- Invoice No. : PINS110572000021 Invoice Type : Credit Invoice Date : 17/06/2020 Jobcard No. : RJC11057202000411 Billed To : BAJAJ ALLIANZ GENERAL INSURANCE CO LTD Jobcard Date : 02/06/2020 Customer Name : VIJABHAI MADHUSUDAN PANDYA Whether Tax : No Insurance GSTIN No : 24AABCB5730G1Z3 Payable on reverse Charges Mobile No. Repair Type : Accidental Repair Delivery Address : : GRID ROAD,KABILPORE NAVSARI,GUJRAT MOBILE KM Reading : 16856 NUMBER:9727732992, PH NO:02637-237325Gujarat [State Code : 24] Registration No. : GJ21BK6286 Insurance Address : SURAT Chassis No. : MD2A76AY9JRE98121 Engine No. : PFYRJE19777 Surat,395001 ,Email Model Name : PLATINA 100 Policy No. : 0G-19-2203-1828-00000008 PF121090 - OUTER TUBE INS Part 84.6 84.6 10 RH / 87141090 / 604.69 1 100:0:0 0 604.69 14 14 774.01 87141090 6 6 JK131015 - AXLE 11 INS Part FRONT / 87141090 / 63.28 1 100:0:0 0 63.28 148.86 148.86 81.00 87141090 {DJ201206 - BLINKER RR 26.3 12 26.3 346.00 INS Part LH WITH 2 P COUPLER / 146.61 2 100:0:0] 0 293.22 9 9 9 9 85122010 / 85122010 52PF1154 - SEAT COWL EBONY BLACK WH DKL 106. 106. 978.00 13 INS Part 764.06 1 100:0:0 0 764.06 14 14 PLATINA / 87149990 / 97 97 87149990 LUIUC PF121101 - TUBE 133. 133. 14 INS Part INNER / 87149100 / 475.78 2 100:0:0 0 951.56 14 14 1,218.00 22 22 87149100. PF121079 - BRACKET 22.4 jINS Part 160.16 22.4 205.00 15 HOLDER FORK UPPER / 100:0:0 0 160.16 14 14 2 2 87149990 / 87149990 YDZ05005 - TAIL LAMP W/O BULB-VARROC. 15.8 15.8 16 INS Part 176.27 1 100:0:0] 0 176.27 9 9 207.99 RINDER-LUMAX- / 6 6 85122010 / 85122010 DU191009 - GRIP - LEFT 17 INS Part HAND / 87141090 / 45.31 1 100:0:0 0 45.31 146.34 146.34 57.99 87141090 TOTAL 10,261.34 1,35 1,35 0.0012,962.98 0.82 0.82 Round Off 0.02 Total Amount 12,963.00 AMOUNT IN WORDS RS TWELVE THOUSAND NINE HUNDRED SIXTY THREE ONLY. Tax amount payable on reverse charges (in Rs.) : NIL Customer Advice : Terms And Conditions : Get your vehicle serviced at regular intervels. Next due date for service is 15-09-2020 KAHALAXMVMETRRS(11057) Sign of Customer Or His Agent Thank You & Happy Riding gnatory Page 2 of 2 Printed On: Wednesday, June 17, 2020 2:33 PM ---PAGE END--- Payable on Insurance GSTIN No : 24AABCB5730G1Z3 reverse Charges Mobile No. : Repair Type : Accidental Repair Delivery Address : : GRID ROAD, KABILPORE NAVSARI ,GUJRAT MOBILE KM Reading : 16856 NUMBER:9727732992, PH NO:02637-237325Gujarat [State Code : 24] Registration No. : GJ21BK6286 Insurance Address : SURAT Chassis No. : MD2A76AY9JRE98121 Engine No. : PFYRJE19777 Surat,395001 ,Email Model Name : PLATINA 100 Policy No. : OG-19-2203-1828-00000008 SGST SGST : PART NAME / HSN TAXABLE /UTG 1 CGS CGS IGST IGST S. No. PART CODE RATE UNITS) RATIO DISC AMOUNT CODE AMOUNT ST UTGT (%) T % (%) ST YPF21001 - HL ASSY WO 86.4 86.4 790.01 INS Part BULB / 87141090 / 617.19] 100:0:0 0 617.19 14 14 1 : 1 87141090 52PF1156 - COWLING WITH EBONY BLACK 74.7 74.7 2 JINS Part 533.59 1 100:0:0 0 533.59 14 14 682.99 DECAL PLATINA / 0 0 87141090 / 87141090 U0aun IJK401025 - LAMP JINS Part 1099.1 98.9 98.9 3 ASSEMBLY-DRL / 1: 100:0:0] 0 1099.15 9 9 1,296.99 5 2 2 85122010 / 85122010 PF151015 - HANDLE 1 299.22 41.8 41.8 4 JINS Part BAR / 87141090 / 1 100:0:0 0 299.22 14 14 383.00 9 9 87141090 52PF1165 - FUEL TANK EBONY BLACK WH DKL 3204.6 448. 448. 5 JINS Part 1 100:0:0 0 3204.69 14 14 4,102.01 (PLATINA / 87149990 / 9 66 66 87149990 PF121076 - ASSEMBLY 100:0:0 75.5 75.5 6 INS Part BRACKET UNDER / 539.84 1 0 539.84 14 14 691.00 8 8 87149100 / 87149100 52PF0335 - FRONT FENDER EBONY BLK 666.41 93.3 93.3 !INS Part 666.41 1 100:0:0 0 14 14 853.01 i WITH BR(PL B104D) / 0 0 87141090 / 87141090 DD191142 - LEVER - 96.09 100:0:01 13.4 13.4 8 jINS Part GRIP :- RiGHT / 1 0 96.09 14 j 14 122.99 5 5 87149990 / 87149990 DJ201207 - BLINKER RR 100:0:0 13.1 13.1 9 INS Part RH WITH 2P COUPLER / 146.61 1 0 146.61 9 9 172.99 9 9 85122010 / 85122010 Get your vehicle serviced at regular intervels. Next due date for service is 15-09-2020 MAHALAXMI MOTORS(11057) Sign of Customer Or His Agent Thank You & Happy Riding Authorised Signatory Printed On: Wednesday, June 17, 2020 2:33 PM Page 1 of 2 ---PAGE END---